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Thread: Liver Mass

  1. #1
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    Default Liver Mass

    AAPC: CPC Promo
    Can someone please confirm the ICD9 for liver mass?

    573.9 or 789.1?

  2. #2
    Join Date
    Apr 2007
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    1,716

    Default

    Of the 2 I would go with 789.1.

    Laura, CPC

  3. #3
    Join Date
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    Default Liver Mass

    Quote Originally Posted by katmryn78 View Post
    Of the 2 I would go with 789.1.

    Laura, CPC
    Thanks Laura

  4. #4
    Join Date
    Apr 2007
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    Default

    It's 573.9. In the index go to mass, since liver isn't listed it says "specified organ NEC-see disease of specified organ or site" which is 573.9.

  5. #5
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    Default

    i wouldnt agree with Laura's code of 789.1. As per the ID guidelines liver mass leads to 573.9
    Brian

  6. #6

    Cool Liver mass

    Good morning,

    I just wanted to put my two-cents in on this one (from personal experience).

    I always ask myself the question: Is the organ enlarged or is there a growth (mass,lesion, etc.) on that organ?

    If you consider the thyroid as the organ in question, when the gland is enlarged, it is considered to be a "goiter". When there is a mass (lesion,nodule,tumor,etc.), then it is considered "nodular". If the pathology report comes back showing a malignancy, then it would code to malignant neoplasm.

    To consider 789.1 as the code for a liver mass, you would want to see it written that the liver was enlarged and I therefore agree with 573.9 which, although vague in and of itself, speaks more towards the very uncertainty of what is ON that liver.

    I hope I didn't muddy the waters...I'm real good at that sometimes.

    Have a great day,

    Joyce

  7. #7

    Default

    I would go with 573.9 for liver mass.

  8. #8

    Question

    Our facility uses 573.8, other specified disorders of liver.
    Interestingly enough, ICD-10 has a specific code for liver mass and it is R16.0which codes out as hepatomegaly, which in ICD-9 is 789.1, so maybe 789.1 is the correct dx code after all.

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